Search › Georgia › 111N00000X
Shane Dehaven, D.C
NPI 1285054916 · on the registry since 2014 · sole proprietor
Practice
- Address
- 393 Eh Ct
Brunswick, GA 31520 - Phone
- (716) 725-3538
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia